Individual provider Active NPI

Lamin Shebora Bangura, MD

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1598021073
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000048230 Issued in TN
Practice address
4536 Nolensville Pike
Suite F
Nashville, TN 37211-4770
Phone
(615) 498-1659
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000048230 TN
Family Medicine Physician 207Q00000X ME105933 FL
Family Medicine Physician 207Q00000X 0101246565 VA
Family Medicine Physician 207Q00000X MD0000048230 TN Primary

Addresses

Primary practice location

4536 Nolensville Pike
Suite F
Nashville, TN 37211-4770

Mailing address

2854 S. Church Street
Murfreesboro, TN 37127-4770
Phone (615) 498-1659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000453 TN Practitioner - Family Practice 8123282787 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000048230TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicos Nashville Family Medicine, LLC Family Medicine Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 4, 2013 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

4536 Nolensville Rd
Ste F
Nashville, TN 37211
Phone (615) 275-7250

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1598021073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 S. CHURCH STREET",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371274770",
            "telephone_number": "615-498-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 NOLENSVILLE PIKE",
            "address_2": "SUITE F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114770",
            "telephone_number": "615-498-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "LAMIN",
        "middle_name": "SHEBORA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000048230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105933",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246565",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000048230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.